Evaluation of apoptotic markers
and platelet activation in apheretic harvests from plasma
Procházková R.1, Andrýs C.2, Hubáčková L.1, Řehořová L.1, Krejsek J.2
1Transfuzní oddělení, Krajská nemocnice Liberec 2Ústav klinické imunologie a alergologie, Fakultní nemocnice Hradec Králové |
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Summary:
The aim of preparation of the platelet concentrate is a mixture with conserved haemostatic function. During the process
of preparation and storage, the platelet structure and function is affected. It undergoes apoptosis and activation. The
state of cell damage and platelets activation was evaluated by means of separators Haemonetics MCS+ and Trima Accel
with different technology of apheresis. Parameters of cell damage and platelet activation (pH, LDH, lactate, glucose,
annexin V, soluble P-selectin) were evaluated at a time of preparation and expiration. The lowest level of activation
during the time of preparation was observed in platelets from separator Haemonetics MCS+. Higher levels of platelet
activation were demonstrated by apheresis in contrast to the total blood at the time of expiration. Mixtures from both
separators showed comparable results. Based on the evaluation of progression and correlation between abovementioned
markers, particularly between P-selectin and annexin V, the authors suggest that initial platelet activation in the mixtures
is probably reversible. It is a result of technology procedure during the preparation, which does not affect process of
apoptosis and its viability during the storage.
Key words:
apheresis, platelet activation, apoptosis
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